UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $0.20 | $0.25 | $0.03 – $0.03 | 5 |
| Mgmt promoter methylation analysis CPT 81287 | $980.40 | $1,634.00 | $91.31 – $136.07 | 12 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $5.80 | $7.25 | $0.26 – $0.28 | 5 |
| Microdissection manual CPT 88381 | $1,058.40 | $1,764.00 | $141.03 – $354.98 | 4 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | $1,822.80 | $3,038.00 | $171.72 – $477.87 | 4 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $335.40 | $559.00 | $21.12 – $105.79 | 12 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $11.00 | $13.75 | $0.15 – $0.17 | 5 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $15.20 | $19.00 | $1.45 – $1.60 | 5 |
| Minocycline hydrochloride HCPCS J2265 | $403.80 | $673.00 | $2.67 – $2.88 | 8 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $129.00 | $215.00 | $69.49 – $74.35 | 9 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $1,680.80 | $2,101.00 | $20.35 – $21.77 | 9 |
| Mitomycin instillation HCPCS J9281 | $818.40 | $1,023.00 | $318.53 – $340.83 | 9 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $390.40 | $488.00 | $23.88 – $25.55 | 9 |
| Mlh1 gene CPT 81288 | $1,549.80 | $2,583.00 | $150.17 – $209.96 | 12 |
| Mlh1 gene dup/delete variant CPT 81294 | $1,438.80 | $2,398.00 | $167.79 – $220.97 | 12 |
| Mlh1 gene full seq CPT 81292 | $399.00 | $665.00 | $568.69 – $737.36 | 12 |
| Mnl prep&insj i-artic rx dev CPT 20704 | $514.80 | $858.00 | $152.93 – $198.98 | 4 |
| Mnl prep&insj imed rx dev CPT 20702 | $493.80 | $823.00 | $146.80 – $190.99 | 4 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $140.80 – $1,632.61 | 12 |
| Mnpj elbow under anes CPT 24300 | $4,107.00 | $6,845.00 | $298.64 – $1,632.61 | 12 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $25.20 | $42.00 | $10.60 – $41.18 | 12 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $12,083.40 | $20,139.00 | $2,406.80 – $10,830.60 | 14 |
| Monovisc inj per dose HCPCS J7327 | $2,835.00 | $4,725.00 | $636.59 – $681.15 | 9 |
| Mopath procedure level 1 CPT 81400 | $1,434.60 | $2,391.00 | $49.95 – $69.83 | 12 |
| Mopath procedure level 3 CPT 81402 | $1,314.60 | $2,191.00 | $117.38 – $164.12 | 12 |
| Mopath procedure level 5 CPT 81404 | $3,033.60 | $5,056.00 | $214.59 – $300.05 | 12 |
| Mopath procedure level 6 CPT 81405 | $5,054.40 | $8,424.00 | $235.29 – $329.00 | 12 |
| Mopath procedure level 7 CPT 81406 | $8,008.80 | $13,348.00 | $220.88 – $308.83 | 12 |
| Mopath procedure level 8 CPT 81407 | $1,672.20 | $2,787.00 | $660.76 – $923.92 | 12 |
| Mopath procedure level 9 CPT 81408 | $4,017.00 | $6,695.00 | $1,561.60 – $2,183.50 | 12 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $41.60 | $52.00 | $2.18 – $2.40 | 5 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $61.40 | $76.75 | $12.05 – $13.26 | 5 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $322.80 | $538.00 | $151.72 – $293.59 | 12 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $599.40 | $999.00 | $79.54 – $366.96 | 12 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $868.80 | $1,448.00 | $45.41 – $210.53 | 12 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $404.40 | $674.00 | $141.17 – $308.57 | 12 |
| Mpl gene analysis common variants CPT 81338 | $1,170.00 | $1,950.00 | $117.38 – $164.12 | 12 |
| MRA chest wwo IV cont HCPCS C8911 | $2,479.80 | $4,133.00 | $287.67 – $367.72 | 8 |
| MRA without fol w/cont, abd HCPCS C8902 | $2,734.20 | $4,557.00 | $287.67 – $367.72 | 8 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $1,954.80 | $3,258.00 | $287.67 – $367.72 | 8 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $2,734.20 | $4,557.00 | $287.67 – $287.67 | 1 |
| MRI breast without cont bi CPT 77047 | $3,482.40 | $5,804.00 | $170.33 – $330.87 | 12 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $2,562.00 | $4,270.00 | $232.71 – $770.16 | 12 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $3,051.00 | $5,085.00 | $343.82 – $1,089.81 | 12 |
| MRI chest without contrast CPT 71550 | $2,514.00 | $4,190.00 | $232.71 – $1,380.54 | 12 |
| MRI chest without & w/contrast CPT 71552 | $3,985.80 | $6,643.00 | $343.82 – $2,206.79 | 12 |
| MRI chest w IV cont CPT 71551 | $3,051.00 | $5,085.00 | $399.62 – $1,243.23 | 12 |
| MRI loex nonjt w IV cont CPT 73719 | $3,051.00 | $5,085.00 | $343.82 – $1,225.96 | 11 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,514.00 | $4,190.00 | $232.71 – $1,023.20 | 11 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $4,010.40 | $6,684.00 | $343.82 – $1,361.72 | 11 |
| MRI tmj CPT 70336 | $2,514.00 | $4,190.00 | $232.71 – $1,299.56 | 12 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,514.00 | $4,190.00 | $232.71 – $1,023.20 | 11 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $4,010.40 | $6,684.00 | $343.82 – $1,361.72 | 11 |
| MRI upper extremity w/dye CPT 73219 | $3,051.00 | $5,085.00 | $343.82 – $1,225.96 | 11 |
| MRI without fol w/cont, breast HCPCS C8908 | $3,543.00 | $5,905.00 | $287.67 – $367.72 | 8 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $4,459.80 | $7,433.00 | $287.67 – $367.72 | 8 |
| Mr safety determination physician/other qhp CPT 76016 | $160.20 | $267.00 | $65.26 – $90.67 | 10 |
| Mr safety implant elec prepj CPT 76018 | $166.80 | $278.00 | $88.37 – $112.64 | 10 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $18.60 | $31.00 | $46.33 – $51.18 | 3 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $44.40 | $74.00 | $9.61 – $25.22 | 10 |
| Mr sfty med physics xm cstmz CPT 76017 | $439.80 | $733.00 | $199.31 – $248.89 | 10 |
| Msh2 gene dup/delete variant CPT 81297 | $1,824.00 | $3,040.00 | $133.51 – $232.87 | 12 |
| Msh2 gene full seq CPT 81295 | $1,824.00 | $3,040.00 | $133.51 – $416.72 | 12 |
| Msh6 gene dup/delete variant CPT 81300 | $1,971.00 | $3,285.00 | $142.27 – $259.83 | 12 |
| Msh6 gene full seq CPT 81298 | $1,971.00 | $3,285.00 | $253.29 – $700.74 | 12 |
| Msh6 gene known variants CPT 81299 | $235.80 | $393.00 | $141.89 – $336.26 | 12 |
| Mthfr gene analy common variants CPT 81291 | $334.80 | $558.00 | $51.02 – $71.34 | 12 |
| Mucopolysaccharides CPT 83864 | $280.80 | $468.00 | $19.80 – $31.12 | 12 |
| Multiple sleep latency test CPT 95805 | $4,393.20 | $7,322.00 | $257.69 – $674.67 | 12 |
| Mumps antibody igg CPT 86735 | $285.60 | $476.00 | $10.19 – $14.25 | 12 |
| Muscle test cran nerv unilat CPT 95867 | $235.20 | $392.00 | $19.20 – $317.66 | 12 |
| Muscle test larynx CPT 95865 | $324.60 | $541.00 | $22.86 – $208.43 | 12 |
| Mycobacteria dna amp probe CPT 87551 | $468.00 | $780.00 | $37.67 – $52.67 | 12 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $79.60 | $99.50 | $0.16 – $0.17 | 5 |
| Mycoplasma antibody igm CPT 86738 | $581.40 | $969.00 | $13.08 – $23.32 | 12 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $888.60 | $1,481.00 | $136.95 – $191.49 | 12 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $4,064.40 | $6,774.00 | $114.50 – $993.28 | 12 |
| Myelography via inj w/s&i cervical CPT 62302 | $3,476.40 | $5,794.00 | $111.12 – $993.28 | 12 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $3,447.00 | $5,745.00 | $109.28 – $993.28 | 12 |
| Myelography via inj w/s&i thoracic CPT 62303 | $2,874.60 | $4,791.00 | $112.58 – $993.28 | 12 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $126.00 | $210.00 | $9.00 – $12.59 | 12 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $1.80 | $2.25 | $0.05 – $0.06 | 5 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $14.40 | $18.00 | $3.70 – $4.07 | 5 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $1.20 | $2.00 | $0.08 – $0.08 | 5 |
| Naltrexone, depot form HCPCS J2315 | $7,275.00 | $12,125.00 | $4.24 – $4.54 | 9 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $3,435.60 | $5,726.00 | $64.75 – $993.28 | 12 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | $135.00 | $225.00 | $162.28 – $239.10 | 8 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $365.40 | $609.00 | $133.62 – $199.90 | 11 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $28,621.80 | $47,703.00 | $24.00 – $25.68 | 9 |
| Natriuretic peptide CPT 83880 | $342.00 | $570.00 | $38.79 – $48.56 | 12 |
| Natural killer cells total count CPT 86357 | $112.80 | $188.00 | $37.28 – $53.96 | 12 |
| Navigational bronchoscopy 31627 CPT 31627 | $5,596.80 | $9,328.00 | $74.09 – $1,853.43 | 4 |
| N block inj hypogas plxs CPT 64517 | $2,191.80 | $3,653.00 | $115.47 – $993.28 | 12 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $359.40 | $599.00 | $22.09 – $131.49 | 12 |
| Nebulizer Breathing Treatment CPT 94640 | $286.80 | $478.00 | $37.90 – $209.42 | 11 |
| Neck Airway (Soft Tissue) X-ray CPT 70360 | $285.60 | $476.00 | $12.80 – $89.83 | 12 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $3,574.80 | $5,958.00 | $171.38 – $1,088.26 | 12 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $3,176.40 | $5,294.00 | $120.32 – $900.12 | 12 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $2,108.40 | $3,514.00 | $102.37 – $774.47 | 12 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $3,867.60 | $6,446.00 | $343.82 – $2,913.64 | 12 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.